Pham, Karen Thu
Pham, Karen Thu was paid $373K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 35% of everything it billed.
33Billing provider infoPHAM, KAREN THU
CONCORD, CA 94520
CONCORD, CA 94520
33aNPI1609920016assigned 01/23/2007
33bProvider typeOptometrist
28Total paid$373K
24GClaims15,127
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#184 of 1,899
Median peer was paid$23K
This provider vs. median17×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,046 | $25K | |
| 2019 | 1,070 | $25K | |
| 2020 | 1,332 | $31K | |
| 2021 | 2,099 | $50K | |
| 2022 | 2,426 | $60K | |
| 2023 | 3,410 | $85K | |
| 2024incomplete | 3,744 | $96K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 35% | 2,697 | 2,689 | $131K |
| V2020 | Frames, purchases | 19% | 3,393 | 3,357 | $70K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 15% | 2,669 | 2,646 | $56K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 11% | 1,087 | 1,084 | $41K |
| 92015 | Determination of refractive state | 8.7% | 4,081 | 4,064 | $32K |
| 92250 | 5.4% | 486 | 485 | $20K | |
| 92341 | 5.0% | 616 | 614 | $19K | |
| 92083 | <1% | 60 | 58 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 12 | 12 | $984.24 |
| 92133 | <1% | 26 | 26 | $838.50 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.